Implementing a group-based online mental well-being program for women living with and beyond breast cancer - A mixed methods study.
breast cancer
mental health
survivorship
well‐being
Journal
Asia-Pacific journal of clinical oncology
ISSN: 1743-7563
Titre abrégé: Asia Pac J Clin Oncol
Pays: Australia
ID NLM: 101241430
Informations de publication
Date de publication:
01 Apr 2024
01 Apr 2024
Historique:
revised:
21
02
2024
received:
10
12
2023
accepted:
11
03
2024
medline:
1
4
2024
pubmed:
1
4
2024
entrez:
1
4
2024
Statut:
aheadofprint
Résumé
There is a gap in available mental well-being services in Australia for women diagnosed with breast cancer. This pilot mixed-methods uncontrolled study aimed to assess the feasibility of an online mental health and well-being intervention, the Be Well Plan (BWP), which enables participants to create a personalized, flexible well-being strategy. Women diagnosed with stages I-IV breast cancer were recruited into 4 asynchronous groups to participate in the BWP, a 5-week facilitator-led group-based mental health and well-being program. Psychological measures used at baseline and post-intervention included: the Warwick Edinburgh Mental Well-Being Scale, Brief Resilience Scale, Self-compassion Scale, 9-item Patient Health Questionnaire, 7-item General Anxiety Disorder scale, and EORC QLQ-C30. Multivariate analysis of variance and effect sizes were calculated on pre- and post-psychological measures, followed by qualitative content analysis on post-completion interviews with participants. Nineteen women (mean age 45.7, standard deviation = 7.74) were included in the study. Large effect sizes were reported for mental well-being, depressive symptoms, and anxiety (partial ω The BWP has the potential to be an effective intervention to support the mental health and well-being of breast cancer survivors. This study highlights flexible interventions that accommodate the diverse needs of breast cancer survivors to improve mental well-being and alleviate psychological distress.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : SAHMRI
Organisme : Hospital Research Foundation Group
Informations de copyright
© 2024 The Authors. Asia‐Pacific Journal of Clinical Oncology published by John Wiley & Sons Australia, Ltd.
Références
WHO. Breast cancer 2021. 2023. Available from: https://www.who.int/news‐room/fact‐sheets/detail/breast‐cancer
Moore HCF. Breast cancer survivorship. Semin Oncol. 2020;47(4):222‐228.
Rajagopal L, Liamputtong P, McBride KA. The lived experience of Australian Women living with breast cancer: a meta‐synthesis. Asian Pac J Cancer Prev. 2019;20(11):3233‐3249.
Australian Institute of Health and Welfare. Cancer in Australia 2021. Available from: https://www.aihw.gov.au/reports/cancer/cancer‐in‐australia‐2021
Marzorati C, Riva S, Pravettoni G. Who is a cancer survivor? a systematic review of published definitions. J Cancer Educ. 2017;32(2):228‐237.
Oh PJ, Cho JR. Changes in fatigue, psychological distress, and quality of life after chemotherapy in women with breast cancer: a prospective study. Cancer Nurs. 2020;43(1):E54‐e60.
Hashemi SM, Rafiemanesh H, Aghamohammadi T, et al. Prevalence of anxiety among breast cancer patients: a systematic review and meta‐analysis. Breast Cancer. 2020;27(2):166‐178.
Lamers SM, Bolier L, Westerhof GJ, Smit F, Bohlmeijer ET. The impact of emotional well‐being on long‐term recovery and survival in physical illness: a meta‐analysis. J Behav Med. 2012;35(5):538‐547.
Vardy JL, Chan RJ, Koczwara B, et al. Clinical Oncology Society of Australia position statement on cancer survivorship care. Aust J Gen Pract. 2019;48(12):833‐836.
Keesing S, Rosenwax L, McNamara B. A call to action: the need for improved service coordination during early survivorship for women with breast cancer and partners. Women Health. 2019;59(4):406‐419.
Chan RJ, Crawford‐Williams F, Crichton M, et al. Effectiveness and implementation of models of cancer survivorship care: an overview of systematic reviews. J Cancer Surviv. 2023;17(1):197‐221.
Shapiro CL. Cancer survivorship. N Engl J Med. 2018;379(25):2438‐2450.
van der Kruk SR, Butow P, Mesters I, et al. Psychosocial well‐being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021. Support Care Cancer. 2022;30(2):1021‐1064.
Oh P‐J, Cho J‐R. Changes in fatigue, psychological distress, and quality of life after chemotherapy in women with breast cancer: a prospective study. Cancer Nursing. 2020;43(1):E54‐E60.
Ryff CD, Boylan JM, Kirsch JA. Eudaimonic and hedonic well‐being. In: Lee MT, Kubzansky LD, VanderWeele TJ, eds. Measuring Well‐Being. Oxford University Press; 2021:92‐135.
Aizpurua‐Perez I, Perez‐Tejada J. Resilience in women with breast cancer: a systematic review. Eur J Oncol Nurs. 2020;49:101854.
van Agteren J, Ali K, Fassnacht DB, et al. Testing the differential impact of an internet‐based mental health intervention on outcomes of well‐being and psychological distress during COVID‐19: uncontrolled intervention study. JMIR Ment Health. 2021;8(9):e28044.
Kemp E, Koczwara B, Butow P, et al. Online information and support needs of women with advanced breast cancer: a qualitative analysis. Support Care Cancer. 2018;26(10):3489‐3496.
Leslie M, Beatty L, Hulbert‐Williams L, et al. Web‐based psychological interventions for people living with and beyond cancer: meta‐review of what works and what does not for maximizing recruitment, engagement, and efficacy. JMIR Cancer. 2022;8(3):e36255.
Beatty L, Kemp E, Butow P, et al. Finding my way‐advanced: can a web‐based psychosocial intervention improve the mental quality of life for women with metastatic breast cancer vs attention‐control? Study protocol of a randomised controlled trial. BMC Cancer. 2022;22(1):1353.
van Agteren J, Bartholomaeus J, Steains E, Lo L, Gerace A. Using a technology‐based meaning and purpose intervention to improve well‐being: a randomised controlled study. J Happiness Stud. 2021;22(8):3571‐3591.
Fassnacht DB, Ali K, van Agteren J, et al. A group‐facilitated, internet‐based intervention to promote mental health and well‐being in a vulnerable population of university students: randomized controlled trial of the be well plan program. JMIR Ment Health. 2022;9(5):e37292.
van Agteren J, Iasiello M, Ali K, et al. Using the intervention mapping approach to develop a mental health intervention: a case study on improving the reporting standards for developing psychological interventions. Front Psychol. 2021;12:648678.
van Agteren J, Iasiello M, Lo L, et al. A systematic review and meta‐analysis of psychological interventions to improve mental well‐being. Nat Hum Behav. 2021;5(5):631‐652.
Lamers SM, Westerhof GJ, Bohlmeijer ET, ten Klooster PM, Keyes CL. Evaluating the psychometric properties of the Mental Health Continuum‐Short Form (MHC‐SF). J Clin Psychol. 2011;67(1):99‐110.
Clarke A, Friede T, Putz R, et al. Warwick‐Edinburgh Mental Well‐being Scale (WEMWBS): validated for teenage school students in England and Scotland. A mixed methods assessment. BMC Public Health. 2011;11:487.
Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194‐200.
Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self‐Compassion Scale. Clin Psychol Psychother. 2011;18(3):250‐255.
Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606‐613.
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD‐7. Arch Intern Med. 2006;166(10):1092‐1097.
Fayers P, Bottomley A. Quality of life research within the EORTC‐the EORTC QLQ‐C30. European Organisation for Research and Treatment of Cancer. Eur J Cancer. 2002;38(4):S125‐S133.
O'Brien RG, Kaiser MK. MANOVA method for analyzing repeated measures designs: an extensive primer. Psychol Bull. 1985;97(2):316‐333.
Albers C, Lakens D. When power analyses based on pilot data are biased: inaccurate effect size estimators and follow‐up bias. J Exp Soc Psychol. 2018;74:187‐195.
Field A. Discovering Statistics using IBM SPSS Statistics. Sage; 2013.
Jacobson NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59(1):12‐19.
Kounali D, Button KS, Lewis G, et al. How much change is enough? Evidence from a longitudinal study on depression in UK primary care. Psychol Med. 2022;52(10):1875‐1882.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277‐1288.
Weiss LA, Westerhof GJ, Bohlmeijer ET. Can we increase psychological well‐being? The effects of interventions on psychological well‐being: a meta‐analysis of randomized controlled trials. PLoS One. 2016;11(6):e0158092.
Stecher C, Berardi V, Fowers R, Christ J, Chung Y, Huberty J. Identifying app‐based meditation habits and the associated mental health benefits: longitudinal observational study. J Med Internet Res. 2021;23(11):e27282.
Cipolletta S, Simonato C, Faccio E. The effectiveness of psychoeducational support groups for women with breast cancer and their caregivers: a mixed methods study. Front Psychol. 2019;10:288.
Zainal NZ, Booth S, Huppert FA. The efficacy of mindfulness‐based stress reduction on mental health of breast cancer patients: a meta‐analysis. Psychooncology. 2013;22(7):1457‐1465.
Pan S, Ali K, Kahathuduwa C, Baronia R, Ibrahim Y. Meta‐analysis of positive psychology interventions on the treatment of depression. Cureus. 2022;14(2):e21933.
Wang C, Chen J, Wang Y, et al. Effects of family participatory dignity therapy on the psychological well‐being and family function of patients with haematologic malignancies and their family caregivers: a randomised controlled trial. Int J Nurs Stud. 2021;118:103922.
Beatty L, Kemp E, Coll JR, et al. Finding my way: results of a multicentre RCT evaluating a web‐based self‐guided psychosocial intervention for newly diagnosed cancer survivors. Support Care Cancer. 2019;27(7):2533‐2544.
Stuhlmiller C. Rethinking mental health nursing education in Australia: a case for direct entry. Int J Ment Health Nurs. 2005;14(3):156‐160.
Curry LA, Nembhard IM, Bradley EH. Qualitative and mixed methods provide unique contributions to outcomes research. Circulation. 2009;119(10):1442‐1452.
Simó M, Rifà‐Ros X, Rodriguez‐Fornells A, Bruna J. Chemobrain: a systematic review of structural and functional neuroimaging studies. Neurosci Biobehav Rev. 2013;37(8):1311‐1321.
Driscoll D. Introduction to primary research: observations, surveys, and interviews. In: Lowe C, Zemliansky P, eds. Writing Spaces: Readings on Writing. Writing Spaces; 2011.
Ali K, Fassnacht DB, Farrer LM, et al. Recruitment, adherence and attrition challenges in internet‐based indicated prevention programs for eating disorders: lessons learned from a randomised controlled trial of ProYouth OZ. J Eat Disord. 2022;10(1):1.